Wingood G M, DiClemente R J, Raj A
Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA.
Am J Prev Med. 2000 Nov;19(4):270-5. doi: 10.1016/s0749-3797(00)00228-2.
This study examined the health consequences of having experienced both sexual and physical abuse relative to women experiencing physical abuse but not sexual abuse.
A cross-sectional study was conducted among 203 women seeking refuge in battered women's shelters. Controlling for sociodemographics, logistic regression analyses were conducted to assess the consequences of experiencing both sexual and physical abuse.
Compared to women experiencing physical abuse, women experiencing both sexual and physical abuse were more likely to have a history of multiple sexually transmitted diseases (STDs) in their abusive relationships, have had an STD in the past 2 months, be worried about being infected with HIV, use marijuana and alcohol to cope, attempt suicide, feel as though they had no control in their relationships, experience more episodes of physical abuse in the past 2 months, rate their abuse as more severe, and be physically threatened by their partner when they asked that condoms be used.
Given the prevalence of adverse health outcomes, domestic violence shelters could counsel women to avoid using alcohol/drugs as a coping strategy, educate women about alternative healthy coping strategies, counsel women about methods of STD prevention that they can control, and provide STD screening and treatment.
本研究探讨了遭受性虐待和身体虐待的女性相对于仅遭受身体虐待但未遭受性虐待的女性所产生的健康后果。
对203名在受虐妇女庇护所寻求庇护的女性进行了一项横断面研究。在控制社会人口统计学因素的情况下，进行逻辑回归分析以评估遭受性虐待和身体虐待的后果。
与仅遭受身体虐待的女性相比，遭受性虐待和身体虐待的女性在其受虐关系中更有可能有多种性传播疾病（STD）病史、在过去两个月内感染过性传播疾病、担心感染艾滋病毒、使用大麻和酒精来应对、尝试自杀、感觉自己在关系中无法掌控、在过去两个月内遭受更多身体虐待事件、认为其虐待更为严重，并且在她们要求使用避孕套时会受到伴侣的身体威胁。
鉴于不良健康后果的普遍性，家庭暴力庇护所可以建议女性避免将饮酒/吸毒作为应对策略，教育女性了解其他健康的应对策略，为女性提供她们可以掌控的性传播疾病预防方法咨询，并提供性传播疾病筛查和治疗。
